Effect of abdominal acupuncture combined with conventional acupuncture on vertigo symptoms and cerebral hemody-namic in patients with posterior circulation ischemic vertigo
Objective To observe the effect of abdominal acupuncture combined with conventional acupuncture on verti-go symptoms and cerebral hemodynamics in patients with posterior circulation ischemic vertigo(PCIV).Methods Atotal of 102 patients with PCIV were randomly assigned to the control group(routine Western medicine,n=51)or the treatment group(ab-dominal acupuncture plus conventional acupuncture,n=51).Patients in the both groups were treated for 2 courses(6 days as a course of treatment)and 1 day of rest.The scores of Dizziness Handicap Inventory Screening(DHI-S)and Dizziness and As-sessment Rating Scale(DARS),and the indexes of cerebral hemodynamicand vascular endothelial function were compared be-tween the two groups before and after treatment,and the clinical efficacy and treatment safety of the two groups were statistically analyzed.Results The total effective rate in the treatment group was better than that of the control group(92.2%[47/51]vs 76.5%[39/51],P<0.05).After treatment,the scores of DHI-S and DARS in the both groups were significantly lower than those before treatment(P<0.05),and the decreases were more common in the treatment group relative to the control group(P<0.05).After treatment,the blood flow of bilateral carotid artery,bilateral vertebral artery and basilar artery in the both groups were significantly higher than those before treatment(P<0.05),and the increases were more pronounced in the treat-ment group compared to the control group(P<0.05).After treatment,nitric oxide(NO)in the both groups significantly in-creased than that before treatment(P<0.05),while endothelin-1(ET-1)significantly decreased(P<0.05),and the treat-ment group was superior to the control group for NO and ET-1(P<0.05).Conclusion Abdominal acupuncture combined with conventional acupuncture in the treatment of PCIV can quickly re-lieve vertigo symptoms,protect vascular endothelial function,im-prove cerebral hemodynamic,with high safety and significant curative effect.
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